exhibit 1. after the end of the affordable care act’s second open enrollment period, the...

Exhibit 1. After The End of the Affordable Care Act’s Second Open Enrollment Period, the Percentage of

Uninsured U.S. Adults Was 13 Percent

Total Ages 19–34 Ages 35–49 Ages 50–640

10

20

30

40

50

20

28

181415

1815

1113

19

13

8

July–Sept. 2013 April–June 2014 March–May 2015

Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, and March–May 2015.

Percent adults ages 19–64 uninsured

Exhibit 2. Uninsured Rates Among Low-Income Adults Remain Higher Than Among Those Adults with Higher

Incomes

Total <100%FPL

100%–137%FPL

138%–249%

FPL

250%–399%

FPL

400% FPL or more

0

10

20

30

40

50

20

33

38

32

12

4

15

26

2022

10

3

13

26

2016

95

July–Sept. 2013 April–June 2014 March–May 2015

Percent adults ages 19–64 uninsured

Note: FPL refers to federal poverty level. Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, and March–May 2015.

Exhibit 3. More Than Half of Adults Who Enrolled in Marketplace Plans or Medicaid Were Uninsured Before

Getting Their New Plan

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had Medicaid for less than two years

Total Enrolled in a health plan through the marketplace

Enrolled in Medicaid0

25

50

75

100

5953

66

25 2722

8 1222 41 21 1 2

Uninsured Employer coverage Individual coverage Medicaid Marketplace coverageOther

Percent

Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

What type of health insurance did you have prior to getting your marketplace or Medicaid coverage?

Exhibit 4. Most Adults Who Were Uninsured Before Getting New Coverage Had Been Uninsured for a Year or More

Adults ages 19–64 who were uninsured before gainingtheir Medicaid or marketplace coverage

Total Enrolled in a health planthrough the marketplace

Enrolled in Medicaid0

25

50

75

100

11 8 1210 8 126 2

920 19 21

5261

43

Three months or less Four months to six months Seven months to 11 monthsOne year to two years More than two years*

At the time you got your marketplace or Medicaid coverage, how long had you been uninsured?

* Includes those who reported never having had insurance. Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Percent

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had

Medicaid for less than two years

No31%

Yes68%

Adults ages 19–64 who have used new health insurance plan

Over the time that you have had your health coverage through the marketplace or Medicaid, have you used this coverage to visit a doctor,

hospital, or other health care provider, or to pay for prescription drugs?

Exhibit 5. Sixty-Two Percent of Adults with Marketplace or Medicaid Coverage Who Had Used Their Plan Said They Would

Not Have Been Able to Access or Afford This Care Before

No62%

Yes37%

Don’t know or refused

2%

Note: Segments may not sum to 100 percent because of rounding.Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Prior to getting this coverage, would you have been able to access and/or afford this care?

Plan has not yet gone into effect

1%

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had

Medicaid for less than two years

No78%

Yes21%

Adults ages 19–64 who have tried to find new primary care or general doctor

Over the time you have had your health coverage through the marketplace or Medicaid, have you tried to find a new primary care doctor or general doctor?

Exhibit 6. More Than Three-Quarters of Adults with Medicaid or Marketplace Coverage Who Tried to Find a

New Primary Care Doctor Found It Very or Somewhat Easy

Very easy47%

Somewhat easy30%

Could not find a doctor

6%

Note: Segments may not sum to 100 percent because of rounding.Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

How easy or difficult was it for you to find a new primary care doctor or general doctor?

Somewhat difficult

9%Very difficult

7%Don’t know or refused

1%

Don’t know1%

Exhibit 7. Sixty Percent of Those Who Found a Primary Care Doctor Got an Appointment Within Two Weeks

Adults ages 19–64 who are currently enrolled in marketplace coverageor have had Medicaid for less than two years and tried to find a

primary care doctor or general doctor since getting new coverage*

0

25

50

75

46

14 1611 12

1

How long did you have to wait to get your first appointment to see this doctor?

* Does not include those who were not able to find a doctor. Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Percent

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had

Medicaid for less than two years

No68%

Yes32%

Adults ages 19–64 who needed to see specialist

Over the time you have had your health coverage through the marketplace or Medicaid, have you

seen or needed to see any specialist doctors?

Exhibit 8. Fifty-Three Percent of Adults with Marketplace or Medicaid Coverage Who Needed a Specialist Got an

Appointment Within Two Weeks

Within 1 week38%

15 to 30 days19%

Don’t know or refused

3%

Note: Segments may not sum to 100 percent because of rounding.Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

How long did you have to wait to get your first appointment

to see this specialist?

8 to 14 days15%

More than 30 days

21%

Still waiting4%

Have not tried to make appointment

1%

Notes: Segments may not sum to indicated total because of rounding. Bars may not sum to 100 percent because of don’t know/refusal to respond. FPL refers to federal poverty level. Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Since you switched/gained your insurance, how satisfied are you with the doctors covered by your new insurance?

250% FPL or more

Below 250% FPL

Enrolled in Medicaid

Enrolled in marketplace plan

Previously insured

Previously uninsured

Total

4

4

5

4

4

4

4

2

4

2

5

3

3

3

39

41

37

44

44

38

41

53

49

55

45

47

52

50

Exhibit 9. Most Adults with Marketplace or Medicaid Coverage Who Have Used Their Plans Were Satisfied with the

Doctors Covered

Adults ages 19–64 who are currently enrolled in marketplace coverageor have had Medicaid for less than two years and have used coverage

Not at all satisfied Not very satisfied Somewhat satisfied Very satisfied

917

91

91

8

7

89

92

8

6

91

92

8

6

Notes: Segments may not sum to indicated total because of rounding. Bars may not sum to 100 percent because of don’t know/refusal to respond. FPL refers to federal poverty level. Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Overall, how satisfied are you with your health insurance?

IndependentRepublican

Democrat

250% FPL or moreBelow 250% FPL

Ages 50–64Ages 35–49Ages 19–34

Enrolled in MedicaidEnrolled in marketplace plan

Previously insuredPreviously uninsured

Total

964

76

89

2

29

66

6

55

2

35

94

2

36

64

5

4851

44

5044

3644

55

4745

3949

45

3436

48

3642

4538

38

4636

4338

40

Exhibit 10. More Than Eight of 1o Adults with Marketplace or Medicaid Coverage Were Satisfied with It

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had Medicaid for less than two years

86

938280

11

414

16

8586

92

119

8782

611

14

1288

82

515

9381

Not at all satisfied Not very satisfied Somewhat satisfied Very satisfied

10

Exhibit 11. About Half of Adults with New Coverage Said They Were Better Off Now

Adults ages 19–64 who are currently enrolled in marketplace coverage or have had Medicaid for less than two years

0

25

50

75

100

5258

45 46

6155

48

34 33 37 35 3429

41

11 716 15

512 9

3 2 3 4 1 3 2

Better off No effect Worse off Too soon to tell or don't know/refused

Since obtaining Medicaid or health coverage through the marketplace, would you say you are better off now or worse off now than before you had this coverage, or has there been no effect?

* Respondent said health status was fair or poor or said they had at least one of the following chronic diseases: hypertension or high blood pressure; heart disease; diabetes; asthma, emphysema, or lung disease; high cholesterol; depression or anxiety. Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Percent

Exhibit 12. Uninsured Rates Among Low-Income Adults in States That Have Not Expanded Medicaid Are More Than

Twice That of Those in Medicaid Expansion States

Total Expanded Medicaid Did not expand Medicaid0

10

20

30

40

50

3328

40

26

17

39

26

16

38

July–Sept. 2013 April–June 2014 March–May 2015

Percent adults ages 19–64 with incomes below 100 percent of poverty who were uninsured

Note: The following states expanded their Medicaid program and began enrolling individuals in March 2015 or earlier: AR, AZ, CA, CO, CT, DE, HI, IA, IN, IL, KY, MA, MD, MI, MN, ND, NH, NJ, NM, NV, NY, OH, OR, PA, RI, VT, WA, WV, and the District of Columbia. All other states were considered to have not expanded. Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, and March–May 2015.

(28 states + D.C.) (22 states)

Exhibit 13. Many Uninsured Adults Continue to Lack Awareness of the Marketplaces, Financial Assistance, and

Medicaid Expansion

Uninsured adults ages 19–64

0

25

50

75

100

31 29

57

47 44

59

46 47

July–Sept. 2013 April–June 2014 March-May 2015

Percent aware

Notes: FPL refers to federal poverty level. Question wording was slightly different between the three surveys. Respondents were not asked about Medicaid expansion awareness in 2013. Source: The Commonwealth Fund Affordable Care Act Tracking Surveys, July–Sept. 2013, April–June 2014, and March–May 2015.

Exhibit 14. Reasons Cited by Uninsured Adults for Not Visiting the Marketplace

Uninsured adults ages 19–64 who are aware of the marketplaces but did not visit to shop for coverage

0

25

50

75

60

39 37

28

12

23

You said that you have not visited the marketplace to shop for health insurance.What are the reasons you did not visit the marketplace? Is it because…?

Note: Respondents could report more than one reason for not visiting the marketplace.Source: The Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015.

Percent